{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T05:14:51Z","timestamp":1734066891163,"version":"3.30.2"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T00:00:00Z","timestamp":1726099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>National guidelines advise delaying initiation of solid foods until after 4\u20136\u2009months of age and avoiding \u201chigh\u2010risk\u201d foods under the age of 4\u2009years. However, foreign body aspiration of food remains a common preventable pediatric emergency. Our primary aim was to investigate public knowledge regarding the safe age of introduction of different foods to children and determine if demographic factors affect this knowledge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online survey was designed following a literature review and consultation with an expert panel. This was distributed via social media platforms. A review of our institutional data of bronchoscopy\/foreign body retrievals was performed to identify trends.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 1000 survey responses: 79.4% of respondents cared for children and 21.5% were medical professionals; 37.7% of respondents (<jats:italic>n<\/jats:italic>\u2009=\u2009385) would offer high\u2010risk foods to children &lt;2\u2009years of age and 56.9% (<jats:italic>n<\/jats:italic>\u2009=\u2009582) to children &lt;3\u2009years. At our institution nuts (65.7%) were the most common food\u2010related foreign body retrieved from a total of 265 over 21\u2009years. Notably, 80% of respondents (<jats:italic>n<\/jats:italic>\u2009=\u2009800) would offer whole nuts to children &lt;4\u2009years. Respondents with medical training were more likely to hold off on introducing nuts to children until a later age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although the public has an overall appreciation of food safety, a significant proportion would feel comfortable offering high\u2010risk foods to children under 2 and 3\u2009years. There is a poor understanding of the danger of nuts and the appropriate age of introduction. Further research into effective public education strategies on safe food introduction in children are warranted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Levels of Evidence<\/jats:title><jats:p>V <jats:italic>Laryngoscope<\/jats:italic>, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31755","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T13:09:15Z","timestamp":1726146555000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Ingestion Question: Public Knowledge of Safe Food Introduction in Children"],"prefix":"10.1002","author":[{"given":"Alexander","family":"Treble","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1040-725X","authenticated-orcid":false,"given":"Jennifer M.","family":"Siu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmine","family":"Madan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Breton","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie","family":"Chiang","sequence":"additional","affiliation":[{"name":"Division of Respiratory Medicine, Department of Paediatrics, The Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blake C.","family":"Papsin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan J.","family":"Propst","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5196-6150","authenticated-orcid":false,"given":"Nikolaus E.","family":"Wolter","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,12]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_7_2_1","DOI":"10.1016\/s0031-3955(16)38229"},{"doi-asserted-by":"publisher","key":"e_1_2_7_3_1","DOI":"10.7759\/cureus.224"},{"doi-asserted-by":"publisher","key":"e_1_2_7_4_1","DOI":"10.3390\/nu41115"},{"doi-asserted-by":"publisher","key":"e_1_2_7_5_1","DOI":"10.1111\/ped.1367"},{"doi-asserted-by":"publisher","key":"e_1_2_7_6_1","DOI":"10.1542\/peds.2016-077"},{"volume-title":"When, What, and How to Introduce Solid Foods","year":"2023","author":"Centres for Disease Control and Prevention","key":"e_1_2_7_7_1"},{"doi-asserted-by":"publisher","key":"e_1_2_7_8_1","DOI":"10.1542\/peds.2009-286"},{"unstructured":"Infant Nutrition and Feeding Guide.WIC works resource system.2019.https:\/\/wicworks.fns.usda.gov\/resources\/infant-nutrition-and-feeding-guid.","key":"e_1_2_7_9_1"},{"volume-title":"Choking Hazards","year":"2020","author":"Centres for Disease Control and Prevention","key":"e_1_2_7_10_1"},{"unstructured":"HealthLink BC.Choking Prevention in Small Children.https:\/\/www.healthlinkbc.ca\/pregnancy\u2010parenting\/keeping\u2010your\u2010child\u2010safe\/choking\u2010prevention\u2010small\u2010childre.","key":"e_1_2_7_11_1"},{"doi-asserted-by":"publisher","key":"e_1_2_7_12_1","DOI":"10.1093\/pch\/17.2.9"},{"unstructured":"Flesch Kincaid Calculator.Good calculators.2024. 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